| NPI | 1386275816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: WA AP61067954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61067954) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-08-16 |